Insurance Investigator

Placements24; Southampton; On-site; GBP 16,000 - 25,000; Full time

Job summary

Placements24 is seeking an Insurance Investigator to join its fraud detection team in Randburg, Gauteng. This role conducts thorough investigations into suspicious insurance claims, gathers evidence, and interviews involved parties to determine validity and flag fraud.

You will prepare detailed reports, collaborate with legal counsel and authorities when necessary, and stay ahead of emerging fraud trends while upholding high integrity and objectivity.

Qualifications

• Bachelor's degree in Criminal Justice, Criminology, Law, or related field.
• Minimum of 4 years of experience in insurance investigation or fraud detection.
• Experience in evidence gathering, interviewing, and report writing.
• Strong understanding of insurance principles and fraud schemes.
• Proficiency with investigative software and standard office applications.
• Driver's license and willingness to conduct field investigations.

Responsibilities

• Conduct investigations into suspicious insurance claims across lines of business.
• Gather and analyze evidence, including reviewing claim files and documentation.
• Interview claimants, witnesses, and other relevant parties to obtain information.
• Identify indicators of potential fraud and develop investigative strategies.
• Prepare comprehensive investigation reports with findings and conclusions.
• Collaborate with claims adjusters, legal counsel, and law enforcement when needed.
• Maintain accurate, confidential records of all investigative activities.
• Testify in legal proceedings when required.
• Stay updated on fraud trends and investigative techniques.
• Contribute to development of fraud detection and prevention strategies.

Skills

Analytical skills

Interviewing

Report writing

Fraud detection

Investigation software

Communication

Independent work

Driver's license

Education

Bachelor's degree in Criminal Justice, Criminology, Law, or related field

Tools

Investigative software

MS Office

Job description

About the Role

Our client is seeking a sharp and resourceful Insurance Investigator to join their fraud detection and prevention unit in Randburg, Gauteng . This critical role involves conducting thorough investigations into suspicious insurance claims to determine the validity of allegations and identify potential fraudulent activities. You will be responsible for gathering evidence, interviewing involved parties, and preparing detailed reports to support claim decisions and potential legal action. The ideal candidate will possess strong analytical skills, a keen sense of observation, and a deep understanding of investigative techniques within the insurance context. This is an excellent opportunity to contribute to the integrity of the insurance industry and work within a dedicated team in Gauteng . We are looking for an individual with integrity and a commitment to uncovering the truth. Your work will directly help protect the company and its honest policyholders from financial losses.

Key Responsibilities

• Conduct investigations into suspicious insurance claims across various lines of business.
• Gather and analyze evidence, including reviewing claim files, documentation, and policy details.
• Interview claimants, witnesses, and other relevant parties to obtain information.
• Identify indicators of potential fraud and develop investigative strategies.
• Prepare comprehensive and objective investigation reports, outlining findings and conclusions.
• Collaborate with claims adjusters, legal counsel, and law enforcement agencies when necessary.
• Maintain accurate and confidential records of all investigative activities.
• Testify in legal proceedings when required.
• Stay updated on emerging fraud trends and investigative techniques.
• Contribute to the development and refinement of fraud detection and prevention strategies.

Requirements

• Bachelor's degree in Criminal Justice, Criminology, Law, or a related field.
• Minimum of 4 years of experience in insurance investigation, fraud detection, or a related investigative role.
• Proven experience in evidence gathering, interviewing, and report writing.
• Strong understanding of insurance principles and common fraud schemes.
• Excellent analytical, critical thinking, and problem-solving skills.
• High level of integrity, discretion, and objectivity.
• Proficiency in investigative software and standard office applications.
• Strong communication and interpersonal skills.
• Ability to work independently and manage time effectively.
• A valid driver's license and willingness to conduct field investigations in and around Randburg .

Benefits

Our client offers a competitive salary, performance bonuses, and a comprehensive benefits package including medical aid, a pension fund, and opportunities for professional development. Join a stable and reputable company that values its employees and their contributions to maintaining ethical standards in the insurance sector. This role offers a chance to make a significant impact from our offices in Randburg , Gauteng .